Active NPI
Doug S Clouse MD PLC
- Specialist
- Chandler, AZ
National Provider Identifier
1124357439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 37427
- Legal business name
- DOUG S CLOUSE MD PLC
- Practice address
- 2450 S Gilbert Rd Ste 109
Chandler, AZ 85286-1594 - Phone
- (480) 899-4333
- Fax
- (480) 899-7219
- NPI assigned
- Dec 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas S Clouse, MD
- Title
- Owner
- Phone
- (480) 899-2101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37427 | AZ | Primary |
Addresses
Primary practice location
2450 S Gilbert Rd Ste 109
Chandler, AZ 85286-1594
Mailing address
2450 S Gilbert Rd Ste 109
Chandler, AZ 85286-1594
Phone (480) 899-4333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
3345 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 857-7123
3345 S Val Vista Dr
Ste 107110
Gilbert, AZ 85297
Phone (480) 725-9777
3636 N Stockton Hill Rd
Ste 3
Kingman, AZ 86409
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Chandler, AZ
- NPI 1932433620
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Chandler, AZ
- NPI 1962469031
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Chandler, AZ
- NPI 1285781401
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1982096418
-
- Physical Therapist
- Gilbert, AZ
- NPI 1922669258
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Mesa, AZ
- NPI 1588199400
-
- Physical Therapist
- Phoenix, AZ
- NPI 1669087664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674691200000",
"number": "1124357439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 S GILBERT RD STE 109",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852861594",
"telephone_number": "480-899-4333",
"fax_number": "480-899-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S GILBERT RD STE 109",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852861594",
"telephone_number": "480-899-4333",
"fax_number": "480-899-7219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUG S CLOUSE MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-15",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A",
"authorized_official_last_name": "CLOUSE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-899-2101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "37427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.